Neurosteroids are endogenous modulators of neuronal excitability and nervous system development and are being developed as anesthetic agents and treatments for psychiatric diseases. While GABA A receptors are the primary molecular targets of neurosteroid action, the structural details of neurosteroid binding to these proteins remain ill-defined. We synthesized neurosteroid analogue photolabeling reagents in which the photolabeling groups were placed at three positions around the neurosteroid ring structure, enabling identification of binding sites and mapping of neurosteroid orientation within these sites. Using middledown mass spectrometry, we identified three clusters of photolabeled residues representing three distinct neurosteroid binding sites in the human α 1 β 3 GABA A receptor. Novel intrasubunit binding sites were identified within the transmembrane helical bundles of both the α 1 and β 3 subunits, adjacent to the extracellular domains. An intersubunit site in the interface between the β 3 (+) and α 1 (-) subunits of the GABA A receptor pentamer was also identified. Computational docking studies of neurosteroid to the three sites predicted critical residues contributing to neurosteroid interaction with the GABA A receptors.Electrophysiological studies based on these predictions indicate that both the α 1 intrasubunit and β 3 -α 1 intersubunit sites are critical for neurosteroid action. 5 circumvent challenges associated with mass spectrometric identification (predominantly neutral loss) and quantification of neurosteroid-peptide adducts 35 . Using these approaches we have identified three clusters of neurosteroid photolabeled residues on the human 1 3 GABA A receptor. Computational docking studies, guided by the photolabeling data, were used to describe three binding sites and the orientation of the neurosteroids within each site. The docking studies were also used to predict critical residues to test the contribution of each of these sites to neurosteroid modulation of GABA A currents. Site-directed mutagenesis of these sites and electrophysiological studies indicate that at least two of three structurally distinct sites contribute to allosteric modulation of GABA currents.
Results
Development and characterization of allopregnanolone-analogue photolabeling reagentsAllopregnanolone (3α-hydroxy-5α-pregnan-20-one) is a potent, endogenous positive allosteric modulator of GABA A receptors (figure 1a). We synthesized three photolabeling analogues of allopregnanolone in which photolabeling moieties were placed at various positions around the steroid backbone. KK123 has a 6-diazirine photolabeling group on the C5-C6-C7 edge of the sterol, which is a likely binding interface with α-helices 36 and minimally perturbs neurosteroid structure 37 . KK123 is, however, an aliphatic diazirine and, as such, may preferentially label nucleophilic amino acids 38 . The two other reagents, KK202 and KK200 incorporate a trifluoromethylphenyl-diazirine (TPD) group at either the 3-or 17carbon. These were designed to sample th...